Missouri
Boone Health files lawsuit against Missouri Heart Center, alleging contract breaches, data misuse
COLUMBIA, Mo. (KMIZ)
Boone Health is suing a Columbia-based cardiology group, alleging breaches of contract, misuse of confidential information and plans to engage in unlawful competition.
The lawsuit, filed in Boone County Circuit Court, targets Missouri Cardiovascular Specialists LLP, also known as the Missouri Heart Center or MO Heart, which has provided cardiology services to Boone Health for more than a decade. According to court documents, a renewed agreement was signed in 2021 covering professional services and management of Boone Health’s cardiology operations.
Boone Health alleges it paid the cardiology group millions of dollars under those agreements for staffing, administrative oversight and revenue cycle management, which included access to sensitive financial and patient-related data. In return, MO Heart and its physicians agreed to noncompete and confidentiality provisions designed to protect Boone Health’s business interests.
The health system claims MO Heart violated those agreements by preparing to launch a competing cardiology practice in the Columbia area, potentially as soon as the contracts expire on May 6, 2026. The lawsuit alleges the new venture would fall within a restricted geographic area and time frame outlined in the noncompete clause, which Boone Health argues is enforceable under Missouri law.
Boone Health also accuses MO Heart of disclosing or misusing confidential information, including billing rates, reimbursement data and strategic business details during its transition to new partnerships with outside organizations. Boone Health alleges in the lawsuit those actions could cause “severe and irreparable injury.”
In addition, Boone Health claims MO Heart obstructed access to critical systems and data. The lawsuit alleges the cardiology group cut off Boone Health’s access to a key billing and patient information platform and stopped sharing necessary data, raising concerns about continuity of patient care.
Boone Health alleged that MO Heart indicated that it intends to operate independently and has taken the position that the noncompete provisions are unenforceable, according to the filing.
Boone Health is asking a judge to rule the noncompete agreements that MO Heart signed are valid, as well as having MO Heart return or destroy confidential information, and delay starting a competing practice until May 2027.
A jury trial has been requested.
A spokesperson for Boone Health told ABC 17 News that it would provide additional details early next week.
Dr. James T. Elliott of MO Heart disagreed with allegations in the lawsuit through a written statement.
“For months, we have tried to meet with leadership team at Boone Health to work constructively towards a new, collaborative arrangement that would preserve access to and expand high‑quality care for our patients and for the entire community. Unfortunately, Boone refused to engage with us in any meaningful way. Instead, we have been met with a series of escalating legal threats, culminating in today’s filing,” the statement reads.
“Earlier today Boone Health filed a lawsuit against Missouri Heart Center. We disagree with the lawsuit’s allegations and believe those claims are both legally and factually incorrect. This litigation does not change our commitment to caring for patients.”
Missouri
NFL Draft: Saints host Missouri OL Keagen Trost for private workout
Reinforcing the offensive line has been a priority for the New Orleans Saints, who opened free agency by signing former Buffalo Bills left guard David Edwards to a four-year, $61 million contract. Even though the franchise has allocated plenty of resources to its offensive line, the free agency addition won’t stop them from seeking more offensive line talent.
The franchise is focused on protecting second-year quarterback Tyler Shough. If a starting offensive lineman is injured, someone must step up. Currently, Asim Richards is the only reliable backup for left tackle Kelvin Banks Jr. or right tackle Taliese Fuaga. On the interior, Dillon Radunz would make sense as a reliable replacement if someone were to go down between Edwards, center Erik McCoy, and right guard Cesar Ruiz.
Drafting a promising offensive lineman in 2026 makes sense, as the Saints hold five Day 3 picks. It’s unlikely general manager Mickey Loomis will spend early draft capital on a tackle, but a late pick is logical. Missouri’s Keagen Trost, projected for Day 3, could fit this need.
Trost, 25, recently worked out privately with the Saints, a source told Saints Wire. The Missouri standout earned a 92.4 Pro Football Focus grade in 13 games last season, ranking No. 1 among 632 eligible collegiate tackles. He also allowed just one sack in 834 total snaps.
Trost’s high grades project him in the fifth round, and he offers versatility, including potential to move inside. At his pro day, he measured 6-foot-4 and 313 pounds. The main issue is his 32 3/8-inch arms, which are shorter than teams prefer for starting tackles. He has extensive SEC experience and strong college production to back it up.
Picks No. 150 and 172 in the fifth round are logical choices for New Orleans to consider selecting Trost. Multiple teams have shown interest in him; he had five pre-draft visits and recently held virtual meetings with the Philadelphia Eagles, Dallas Cowboys, Cincinnati Bengals, and Atlanta Falcons, according to a source. While there are many highly regarded offensive linemen in this class, Trost’s versatility appears to set him apart from the others.
Missouri
Missouri Lottery Pick 3, Pick 4 winning numbers for April 19, 2026
The Missouri Lottery offers several draw games for those aiming to win big.
Here’s a look at April 19, 2026, results for each game:
Winning Pick 3 numbers from April 19 drawing
Midday: 4-7-3
Midday Wild: 7
Evening: 8-8-3
Evening Wild: 5
Check Pick 3 payouts and previous drawings here.
Winning Pick 4 numbers from April 19 drawing
Midday: 9-0-8-0
Midday Wild: 9
Evening: 1-8-4-8
Evening Wild: 9
Check Pick 4 payouts and previous drawings here.
Winning Cash Pop numbers from April 19 drawing
Early Bird: 15
Morning: 15
Matinee: 07
Prime Time: 10
Night Owl: 06
Check Cash Pop payouts and previous drawings here.
Winning Show Me Cash numbers from April 19 drawing
08-14-24-27-28
Check Show Me Cash payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your lottery prize
All Missouri Lottery retailers can redeem prizes up to $600. For prizes over $600, winners have the option to submit their claim by mail or in person at one of Missouri Lottery’s regional offices, by appointment only.
To claim by mail, complete a Missouri Lottery winner claim form, sign your winning ticket, and include a copy of your government-issued photo ID along with a completed IRS Form W-9. Ensure your name, address, telephone number and signature are on the back of your ticket. Claims should be mailed to:
Ticket Redemption
Missouri Lottery
P.O. Box 7777
Jefferson City, MO 65102-7777
For in-person claims, visit the Missouri Lottery Headquarters in Jefferson City or one of the regional offices in Kansas City, Springfield or St. Louis. Be sure to call ahead to verify hours and check if an appointment is required.
For additional instructions or to download the claim form, visit the Missouri Lottery prize claim page.
When are the Missouri Lottery drawings held?
- Powerball: 9:59 p.m. Monday, Wednesday and Saturday.
- Mega Millions: 10 p.m. Tuesday and Friday.
- Pick 3: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Pick 4: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Cash4Life: 8 p.m. daily.
- Cash Pop: 8 a.m. (Early Bird), 11 a.m. (Late Morning), 3 p.m. (Matinee), 7 p.m. (Prime Time) and 11 p.m. (Night Owl) daily.
- Show Me Cash: 8:59 p.m. daily.
- Lotto: 8:59 p.m. Wednesday and Saturday.
- Powerball Double Play: 9:59 p.m. Monday, Wednesday and Saturday.
This results page was generated automatically using information from TinBu and a template written and reviewed by a Missouri editor. You can send feedback using this form.
Missouri
It’s All Madsen In Missouri High Limit Tilt – SPEED SPORT
WHEATLAND, Mo. — It was all Kerry Madsen on Saturday night at Lucas Oil Speedway as the 54-year-old native of Australia, who’s now based in Knoxville, Iowa, picked up his first Interstate Batteries High Limit Sprint racing victory.
Madsen led all 30 laps to earn the $12,000 prize. He outdistanced runner-up Sue Lynch by 2.79 seconds with Tanner Holmes finishing third.
“The car’s been super quick every time we’ve hit the track,” Madsen said, noting several competitive runs in the early portion of the High Limit schedule. “The car’s been quick every night, which gives you a lot of confidence.
“We haven’t drawn well in dashes and had some little stuff going on. We drew a good one (tonight) and the car was good and we got the job done. I’m pretty happy.”
That changed this time as Madsen beat Holmes in the dash, to claim the pole position for the feature.
Madsen said his young crew chief Ty Wolfgang has “done a great job” getting in sync with him. Communication has been a big key.
“I know it sounds weird, but just hanging out together,” Madsen said of the driver-crew chief chemistry. “Dinner and a beer and just talk about racing. You do that and it might be a Wednesday night, but something clicks. He’s been real receptive with that stuff and that’s great.”
Madsen, a former Knoxville Nationals 360 winner, paced the early going after starting from the pole, with Holmes in close pursuit. Action slowed on lap six with Chase Randall and Danny Samms III tangling in turn two for the first and only yellow of the event.
Lynch moved into second on the restart as Madsen opened a 1.5-second lead by lap nine as Holmes dropped to third. Madsen’s margin swelled to nearly two seconds by lap 11 – but Lynch tracked down the leader and cut the deficit to a half-second at the halfway mark on lap 15.
As the race continued until green-flag conditions, Madsen settled into a one-second advantage as Lynch and Holmes tried to keep pace. Madsen poured it on in the late stages, cruising to the checkers by nearly three seconds over Lynch.
“Hopefully we can keep rolling like this all year. Obviously, you can’t win every night, but being quick and running well is going to be awesome,” Madsen said.
Lynch, 28 from Cowansville, Pa., said the team found some steering issues and gave him a fast car. It just was not fast enough to stay with Madsen on Saturday night.
“We were battling steering issue in the dash and it was pretty obvious,” Lynch said. “We just didn’t have time to change it and we just tried to make it the best we could. Really the car was super good. The guys busted their butt all night. It’s a testament to the team. We’re working hard and hopefully one spot better real soon.”
Holmes, a 22-year-old from Jacksonville, Oregon, came home third with Daison Pursley fourth, Hank Davis fifth and Rico Abreu charging from 11th to sixth.
“Our best night of the year,” Holmes said. “We’ve got to race a little bit during a break with High Limit these last few weeks. Some of those nights when we got our teeth kicked in taught us a lot.”
Fast overall qualifier was Sye Lynch at 13.342 seconds out of Group A. Aaron Reutzel led Group B with a lap of 13.469 seconds. Both were well off the track record for 410 Sprints held by Rico Abreu at 12.829 seconds on June 29, 2024.
The finish:
Feature: 1. 55-Kerry Madsen[1]; 2. 42-Sye Lynch[3]; 3. 13-Tanner Holmes[2]; 4. 9-Daison Pursley[4]; 5. 17GP-Hank Davis[5]; 6. 24-Rico Abreu[11]; 7. 7BC-Tyler Courtney[12]; 8. 77-Giovanni Scelzi[6]; 9. 19-Brent Marks[9]; 10. 26-Justin Peck[10]; 11. 88-Tanner Thorson[15]; 12. 21-Brian Brown[14]; 13. 28-Jace Park[23]; 14. 87-Aaron Reutzel[7]; 15. 19JR-Joel Myers Jr[20]; 16. 45X-Rees Moran[21]; 17. 5-Brenham Crouch[19]; 18. 44-Chris Martin[8]; 19. 19H-Kaleb Johnson[22]; 20. 87X-Logan Seavey[17]; 21. 36-Jason Martin[16]; 22. 9R-Chase Randall[18]; 23. 24D-Danny Sams III[13]; 24. 2-Miles Paulus[24]
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